IndividualActive
Mario Mitchell, DSS PROFESSIONAL
NPI 1417755141 · Intellectual & Developmental Disabilities Psychologist · Omaha, NE
Provider details
- NPI number
- 1417755141
- Entity type
- Individual
- Primary specialty
- Intellectual & Developmental Disabilities PsychologistBehavioral Health & Social Service Providers
- Credential
- DSS PROFESSIONAL
- Sex
- Male
- Sole proprietor
- Yes
- License
- 261QD1600X (NE)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
543 N 86th St
Omaha, NE 68114-3505
Phone: (402) 813-7110
Fax: (402) 813-7110
Street-level locationGet directions
Mailing address
543 N 86th St # 68114
Omaha, NE 68114-3505
Registry dates
- Enumerated
- 2025-03-06
- Last updated
- 2026-03-06
- Certified
- 2026-03-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.